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HTML Form code

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Jul 31st, 2013
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  1. <!-- ---------------------------------------------------------------------- -->
  2. <!-- NOTE: Please add the following <META> element to your page <HEAD>. -->
  3. <!-- If necessary, please modify the charset parameter to specify the -->
  4. <!-- character set of your HTML page. -->
  5. <!-- ---------------------------------------------------------------------- -->
  6.  
  7. <META HTTP-EQUIV="Content-type" CONTENT="text/html; charset=UTF-8">
  8.  
  9. <!-- ---------------------------------------------------------------------- -->
  10. <!-- NOTE: Please add the following <FORM> element to your page. -->
  11. <!-- ---------------------------------------------------------------------- -->
  12.  
  13. <form action="" method="POST">
  14.  
  15. <input type=hidden name="oid" value="">
  16. <input type=hidden name="retURL" value="http://">
  17.  
  18. <!-- ---------------------------------------------------------------------- -->
  19. <!-- NOTE: These fields are optional debugging elements. Please uncomment -->
  20. <!-- these lines if you wish to test in debug mode. -->
  21. <!-- <input type="hidden" name="debug" value=1> -->
  22. <!-- <input type="hidden" name="debugEmail" value=""> -->
  23. <!-- ---------------------------------------------------------------------- -->
  24.  
  25. <label for="first_name">First Name</label><input id="first_name" maxlength="40" name="first_name" size="20" type="text" /><br>
  26.  
  27. <label for="last_name">Last Name</label><input id="last_name" maxlength="80" name="last_name" size="20" type="text" /><br>
  28.  
  29. <label for="title">Title</label><input id="title" maxlength="40" name="title" size="20" type="text" /><br>
  30.  
  31. <label for="company">Company</label><input id="company" maxlength="40" name="company" size="20" type="text" /><br>
  32.  
  33. <label for="lead_source">Lead Source</label><select id="lead_source" name="lead_source"><option value="">--None--</option><option value=""></option>
  34. <option value=""></option>
  35. <option value=""></option>
  36. <option value=""></option>
  37. <option value=""></option>
  38. <option value=""></option>
  39. <option value=""></option>
  40. <option value=""></option>
  41. <option value=""></option>
  42. <option value=""></option>
  43. <option value=""></option>
  44. <option value=""></option>
  45. <option value=""></option>
  46. <option value=""></option>
  47. <option value=""></option>
  48. <option value=""></option>
  49. <option value=""></option>
  50. <option value=""></option>
  51. <option value=""></option>
  52. </select><br>
  53.  
  54. <label for="phone">Phone</label><input id="phone" maxlength="40" name="phone" size="20" type="text" /><br>
  55.  
  56. <label for="email">Email</label><input id="email" maxlength="80" name="email" size="20" type="text" /><br>
  57.  
  58. <label for="country">Country</label><input id="country" maxlength="40" name="country" size="20" type="text" /><br>
  59.  
  60. <label for="description">Description</label><textarea name="description"></textarea><br>
  61.  
  62. <input type="submit" name="submit">
  63.  
  64. </form>
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